| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.84 | $517.29 | $517.29 | |
Aetna
| Professional | $517.29 | $517.29 | $550.00 | |
BCBS
| Facility | $97.00 | $117.71 | $158.36 | |
BCBS
| Professional | $694.93 | $770.00 | $908.60 | |
Cigna
| Facility | $132.22 | $193.77 | $340.36 |